Organization Active NPI

Dr. Neha Dada OD PLLC

  • Optometrist
  • Indian Trail, NC
National Provider Identifier
1780455709
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. NEHA DADA OD PLLC
Practice address
5124 Old Charlotte Highway
Suite-G
Indian Trail, NC 28110
Phone
(845) 774-6585
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neha Dada, ODNPI 1467769281
Title
Optometrist
Phone
(980) 981-4868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5124 Old Charlotte Highway
Suite-G
Indian Trail, NC 28110

Mailing address

5124 Old Charlotte Highway
Suite-G
Indian Trail, NC 28110
Phone (980) 981-4868

Other names 1

  • Method Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424001039 NC Part B Supplier - Clinic/Group Practice 5991144982 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Locations

5124 Old Charlotte Hwy
Ste G
Monroe, NC 28110
Phone (980) 981-4868

5124 Old Charlotte Hwy
Monroe, NC 28110
Phone (845) 774-6585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1780455709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 OLD CHARLOTTE HIGHWAY",
            "address_2": "SUITE-G",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28110",
            "telephone_number": "980-981-4868",
            "fax_number": "980-981-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 OLD CHARLOTTE HIGHWAY",
            "address_2": "SUITE-G",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28110",
            "telephone_number": "845-774-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NEHA DADA OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "980-981-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Method Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Method Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.